桡动脉与股动脉途径使用血栓抽吸导管对急性心肌梗死临床效果的对比研究

被引：10

作者：

胡奉环

杨跃进

乔树宾

吴永健

秦学文

姚民

徐波

刘海波

陈珏

袁晋青

尤士杰

钱杰

杨伟宪

窦克非

邱洪

高展

陈纪林

高润霖

陈在嘉

机构：

[1] 中国医学科学院北京协和医学院心血管病研究所阜外心血管病医院冠心病诊治中心

来源：

中国循环杂志 | 2013年 / 28卷 / 07期

关键词：

桡动脉和股动脉入路; 血栓抽吸; 急性心肌梗死;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

1002 ; 100201 ;

摘要：

目的:本研究目的是通过桡动脉与股动脉途径使用血栓抽吸导管的对比研究,探讨桡动脉途径使用血栓抽吸导管的可行性和有效性。方法:选择我院2011-01至2012-03所有使用血栓抽吸导管治疗的ST段抬高的急性心肌梗死(STEMI)患者315例,根据介入通路的不同分为桡动脉组(218例)和股动脉组(97例),对比观察两组血栓抽吸的成功率及血栓抽吸的近期临床效果(支架置入术后冠状动脉血流灌注、心肌灌注和心脏功能的结果)。结果:桡动脉组和股动脉组血栓抽吸成功率分别为95.4%和97.9%(P>0.05);心肌梗死溶栓治疗临床试验(TIMI)3级血流和心肌灌注分级(Blush分级)3级血流分别为95.87%和48.16%对96.91%和50.52%,差异均无统计学意义(P均>0.05)。术后1～2周左心室舒张末内径分别为(53.70±4.35)mm和(52.91±4.82)mm(P=0.61);左心室射血分数分别为0.48±0.15和0.51±0.12(P=0.56),差异均无统计学意义(P均>0.05)。结论:急性心肌梗死患者经皮冠状动脉介入治疗术中使用血栓抽吸导管抽吸血栓,桡动脉途径是可行的,并且具有和股动脉途径同样的成功率和近期临床效果。

引用

页码：498 / 501

页数：4

共 14 条

[1] 应用EXPORT血栓抽吸导管在急性ST段抬高型心肌梗死直接经皮冠状动脉介入治疗中的有效性观察 [J].

王正忠 ;

王守东 ;

戴红艳 ;

侯方杰 ;

马颖 ;

任永强 ;

于忠祥 ;

林宪如 ;

王晏平 ;

丁华民 .

中国循环杂志, 2012, 27 (06) :423-426

[2] 血栓抽吸导管在急性心肌梗死恢复期择期经皮冠状动脉介入治疗中应用的临床研究 [J].

李伟 ;

卢明瑜 ;

王伟民 ;

刘健 ;

马玉良 ;

李琪 ;

刘传芬 .

中国循环杂志, 2010, 25 (05) :332-335

[3]

Transradial Versus Transfemoral Intervention for Acute Myocardial Infarction[J] . Marco Valgimigli,Francesco Saia,Paolo Guastaroba,Alberto Menozzi,Paolo Magnavacchi,Andrea Santarelli,Francesco Passerini,Pietro Sangiorgio,Antonio Manari,Fabio Tarantino,Massimo Margheri,Alberto Benassi,Massimo Giuseppe Sangiorgi,Stefano Tondi,Antonio Marzocchi.JACC: Cardiovascular Interventions . 2012 (1)

[4]

Impact of vascular approach (transradial vs. transfemoral) on the efficacy of thrombus aspiration in acute myocardial infarction patients[J] . Alessandro Sciahbasi,Francesco Burzotta,Stefano Rigattieri,Gianluca Pendenza,Enrico Romagnoli,Carlo Trani,Paolo Loschiavo,Maria Penco,Ernesto Lioy.Cardiovascular Revascularization Medicine . 2012 (2)

[5] Impact of thrombus aspiration on angiographic and clinical outcomes in patients with ST-elevation myocardial infarction [J].

Beaudoin, Jonathan ;

Dery, Jean-Pierre ;

Lachance, Philippe ;

Bertrand, Olivier F. ;

Larose, Eric ;

Rodes-Cabau, Josep ;

Noel, Bernard ;

Barbeau, Gerald ;

Proulx, Guy ;

Nguyen, Can ;

Roy, Louis ;

Gleeton, Onil ;

Rinfret, Stephane ;

Delarochelliere, Robert .

CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2010, 11 (04) :218-222

[6]

Thrombus Aspiration During Primary Percutaneous Coronary Intervention Improves Myocardial Reperfusion and Reduces Infarct Size[J] . Gennaro Sardella,Massimo Mancone,Chiara Bucciarelli-Ducci,Luciano Agati,Raffaele Scardala,Iacopo Carbone,Marco Francone,Angelo Di Roma,Giulia Benedetti,Giulia Conti,Francesco Fedele.Journal of the American College of Cardiology . 2009 (4)

[7]

Upfront Thrombus Aspiration in Primary Coronary Intervention for Patients With ST-Segment Elevation Acute Myocardial Infarction[J] . Yuji Ikari,Masami Sakurada,Ken Kozuma,Shigeo Kawano,Takaaki Katsuki,Kazuo Kimura,Takahiko Suzuki,Takehiro Yamashita,Akinori Takizawa,Kazuo Misumi,Hideki Hashimoto,Takaaki Isshiki.JACC: Cardiovascular Interventions . 2008 (4)

[8] Thrombus aspiration during primary percutaneous coronary intervention in acute ST-elevation myocardial infarction [J].

Segev, Amit ;

Elian, Dan ;

Marai, Ibrahim ;

Matetzky, Shlomi ;

Agranat, Oren ;

Har-Zahav, Yedael ;

Guetta, Victor .

CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2008, 9 (03) :140-143

[9]

Cardiac death and reinfarction after 1 year in the Thrombus Aspiration during Percutaneous coronary intervention in Acute myocardial infarction Study (TAPAS): a 1-year follow-up study[J] . Pieter J Vlaar,Tone Svilaas,Iwan C van der Horst,Gilles FH Diercks,Marieke L Fokkema,Bart JGL de Smet,Ad FM van den Heuvel,Rutger L Anthonio,Gillian A Jessurun,Eng-Shiong Tan,Albert JH Suurmeijer,Felix Zijlstra.The Lancet . 2008 (9628)

[10]

Bleeding complications in patients with acute coronary syndrome undergoing early invasive management can be reduced with radial access, smaller sheath sizes, and timely sheath removal[J] . Warren J.Cantor,Kenneth W.Mahaffey,ZhenHuang,PranabDas,Dietrich C.Gulba,StanislavGlezer,RichardGallo,JohnDucas,MarcCohen,Elliott M.Antman,AnatolyLanger,Neal S.Kleiman,Harvey D.White,Robert J.Chisholm,Robert A.Harrington,James J.Ferguson,Robert M.Califf,Shaun G.Goodman.Cathet. Cardiovasc. Intervent. . 2006 (1)

← 1 2 →